LYSSA ALICIA BARTH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149020251

License Status

NOT RENEWED

Business

First Name

LYSSA

Middle

ALICIA

Last Name

BARTH

Business Name

LYSSA ALICIA BARTH

Original Issue Date

04/18/2018

Effective Date

04/18/2018

Expiration Date

11/30/2019

City

URBANA

State

Zip

61801

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020